Individual
MS. KIM PADGETT MARYHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6320 N 82ND ST, SCOTTSDALE, AZ 85250-5611
(480) 484-3100
Mailing address
8701 E VALLEY VISTA DR, SCOTTSDALE, AZ 85250-5811
(480) 661-0531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPL4521
DEPT OF HEALTH SERVICES L
AZ
Enumeration date
02/26/2007
Last updated
07/08/2007
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